HSS study backs routine X-rays before, after pediatric ACL reconstruction to track alignment

  • HSS researchers presented results at Pediatric Orthopedic Society of North America annual meeting on imaging use before, one year after, ACL reconstruction in children with open growth plates.
  • Multicenter studies found meaningful share of pediatric patients developed subtle post-surgery leg alignment changes that could increase future reinjury risk, even when using growth-plate-sparing techniques.
  • Adolescent cohort showed alignment shifts were observed, yet no growth-related complications required intervention, supporting continued monitoring through skeletal maturity.
  • Findings position routine pre- and post-operative X-ray assessment as decision-driving step to flag alignment risk early, enabling lower-intensity corrective options while growth plates remain active.


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